Individual ProviderStephen George JohnsonCounselorBehavioral Health & Social Service ProvidersPractice Address118 Irvington Springs Rd, Lynchburg, VA 24503-2110(956) 454-6092PECOS EnrollmentBased on the most recent information from CMS, provider Stephen George Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1568579902Provider TypeIndividualFull NameJohnson, Stephen GeorgeTitleDr.CredentialPH.D.GenderMaleSole ProprietorYesEnumeration Date8/23/2006Last Updated12/1/2020Contact InformationPractice LocationPractice Address118 Irvington Springs Rd, Lynchburg, VA 24503-2110Phone(956) 454-6092FaxUnlisted FaxMailing LocationMailing Address118 Irvington Springs Rd, Lynchburg, VA 24503-2110Phone(956) 454-6092FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701005728VirginiaCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense11915Texas